Organization
MICHAEL AND MICHAEL PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE L MICHAEL PHD,RNC,WHCHP (OWNER)
(214) 707-0092
Entity
Organization
Contact information
Practice address
5505 BROADWAY BLVD, SUITE B, GARLAND, TX 75043-3670
(214) 707-0092
Mailing address
722 WEEPING WILLOW RD, GARLAND, TX 75044-2534
(214) 707-0092
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
544527
TX
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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